Organization
IDEAL RECOVERY HOMES LLC
Active
Other names
Ideal Recovery Homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEYINKA UKONUMU (FACILITY ADMINISTRATOR)
(602) 413-7382
Entity
Organization
Contact information
Practice address
16967 W DIANA AVE, WADDELL, AZ 85355-7635
(602) 413-7382
Mailing address
16967 W DIANA AVE, WADDELL, AZ 85355-7635
(602) 413-7382
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
10/28/2024
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